NPI | 1750628210 |
---|---|
Entity Type | Organization |
Authorized Contact | JOLIE BETH BOUDREAUX President 405-410-6378 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 3588) |
Enumeration Date | 2013-01-03 |
Last Update Date | 2013-01-03 |